Provider Demographics
NPI:1447732060
Name:AMBUSKE, EMILY (MED)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:AMBUSKE
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:AUFILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 BRUGH AVE
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-6428
Mailing Address - Country:US
Mailing Address - Phone:724-284-9440
Mailing Address - Fax:724-284-9441
Practice Address - Street 1:100 BRUGH AVE
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-6428
Practice Address - Country:US
Practice Address - Phone:724-284-9440
Practice Address - Fax:724-284-9441
Is Sole Proprietor?:No
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health